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Trial registered on ANZCTR
Registration number
ACTRN12624000762550p
Ethics application status
Submitted, not yet approved
Date submitted
6/06/2024
Date registered
21/06/2024
Date last updated
21/06/2024
Date data sharing statement initially provided
21/06/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
Assessment of tear stability and comfort when wearing oil-laden daily disposable contact lenses
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Scientific title
Assessment of tear stability and comfort response when wearing (O-acyl)-hydroxy fatty acids laden daily disposable contact lenses in habitual contact lens wearers aged 18-45 years
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Secondary ID [1]
312297
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Contact lens related discomfort
334029
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Condition category
Condition code
Eye
330700
330700
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0
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Diseases / disorders of the eye
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
It’s a crossover trial, in which three different contact lenses will be evaluated: (i) Comfilcon A contact lenses with (O-acyl)-hydroxy fatty acids and surfactant (ii) Comfilcon A contact lenses with surfactant only, and (iii) the marketed Comfilcon A contact lenses will act as the control. There will be a 24-hour washout period between treatments. The lens power (strength) will range from -0.50 to -7.50D or +0.50 to +1.75D (inclusive), with < 1.00 DC (cylinder power). A record book/attendance sheet will be used to monitor adherence or fidelity to the intervention. The same lens type will be worn in both eyes and the order of lens wear will be randomly assigned. All participants will wear each lens type on a single occasion for approximately 8 hours.
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Intervention code [1]
328760
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Treatment: Devices
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Comparator / control treatment
The control lens group will be commercially available Comfilcon A contact lenses (M-L).
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Control group
Active
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Outcomes
Primary outcome [1]
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Non-invasive tear breakup time
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Assessment method [1]
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Oculus Keratograph 5M
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Timepoint [1]
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Baseline and after 8 hours of lens wear
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Secondary outcome [1]
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Subjective comfort
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Assessment method [1]
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Questionnaires on paper record forms (questionnaire validated)
The bilateral subjective questionnaire with 0-100 scale
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Timepoint [1]
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Baseline, and after 4 hours and 8 hours of lens wear
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Eligibility
Key inclusion criteria
• Aged 18-45 years old (inclusive)
• Able to read and comprehend English and give informed consent as demonstrated by signing a record of informed consent.
• Habitual contact lens wearer
• Spherical refractive error between -0.50 to -7.50D or +0.50 to +1.75D (inclusive), with < 1.00 DC (cylinder power)
• Able to achieve a minimum 6/9.5 binocular visual acuity while wearing the study lenses (with over-spectacles if required)
• Willing to wear the study contact lenses for a minimum of 8 hours per day.
• Willing to refrain from wearing their habitual contact lenses for a minimum of 24 hours prior to each visit
• Have health and ocular health findings which would not prevent the participant from safely wearing contact lenses
• Willing to not use any rewetting eye drops on the morning of study visits and while wearing the study contact lenses
• Willing to refrain from swimming, showering, and/or sleeping while wearing the study contact lenses
• Willing to undergo the tests as outlined in the information statement.
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Minimum age
18
Years
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Maximum age
45
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
• Gas permeable contact lens wearer
• Any active corneal infection, ocular allergies
• Recent or short-term inflammation in the front part of the eye
• Pregnancy (or planning pregnancy), lactating/breast feeding, suffering from the systemic diseases Sjögren’s syndrome, rheumatoid arthritis, systemic lupus erythematosus, diabetes and thyroid eye disease or taking the medications atropine, antazoline, azatadine or antihistamines such as cetirizine, brompheniramine
• People who have undergone refractive surgery
• People with epilepsy
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
The participant wearing the lenses and clinician who will be assess the ocular surface will be masked tothe lenses being worn. The method of allocation concealment will be numbered containers.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table created by computer software (i.e. computerisedsequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
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Intervention assignment
Crossover
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Participants who complete the study will be included in the analysis dataset. Data analysis will be performed using SPSS 22.0 (SPSS Inc., Chicago, IL). Clinical variables will be classified as parametric or nonparametric after testing for normality using the Shapiro-Wilk test. Data will be summarised as means ± standard deviations for variables measured on an interval scale and median ± inter-quartile range for ordinal variables. Multifactorial analysis of variance (ANOVA) will be compared the mean/median differences of variables between baseline and follow-up visits. The p value is set at p < 0.05. Bonferroni adjustment will be used for multiple comparisons.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/07/2024
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Actual
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Date of last participant enrolment
Anticipated
31/10/2024
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Actual
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Date of last data collection
Anticipated
30/11/2024
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Actual
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Sample size
Target
20
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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School of Optometry and Vision Science - Kensington
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Recruitment postcode(s) [1]
42701
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2033 - Kensington
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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CooperVision, Inc.
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Address [1]
316686
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Country [1]
316686
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United States of America
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Primary sponsor type
University
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Name
University of New South Wales
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Address
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
318877
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Address [1]
318877
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Country [1]
318877
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Ethics approval
Ethics application status
Submitted, not yet approved
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Ethics committee name [1]
315463
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The University of New South Wales Research Ethics Committee A
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Ethics committee address [1]
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https://research.unsw.edu.au/research-ethics-and-compliance-support-recs
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
315463
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04/06/2024
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Approval date [1]
315463
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Ethics approval number [1]
315463
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Summary
Brief summary
Contact lens discomfort and its associated dryness are the primary reasons to discontinue using contact lenses. In addition, users with decreased tear volume are more prone to be intolerant to soft contact lenses. The lipids (oils) of the tear film are produced in the meibomian glands in the eyelids, and these lipids are delivered from the meibomian glands to the eye to form part of the tear film lipid layer. This layer promotes tear film stability and prevents drying of the ocular surface. Several of these lipids help stabilize and spread tears across the ocular surface and retard tear evaporation. The amount of lipids in tears is reduced in people with dry eyes, and dry eye is related to contact lens discomfort. Contact lens discomfort is worse when people's meibomian glands are blocked. Therefore, we hypothesize that adding lipids back to the eye during contact lens wear will help form a stable tear film and reduce dry eye sensations. We and many others have shown that delivering components from contact lenses is preferable to delivering by eyedrops as more of the component remains on the eye. The aim of this study is to investigate changes in the ocular surface (corneal and conjunctival staining, non-invasive tear break-up time, and comfort level) of experienced contact lens wearers wearing oil-loaded contact lenses. This study was designed as a single-center, double-masked, randomized study. At the baseline visit, experienced contact lens wearers who meet the inclusion criteria will be enrolled in the study. After baseline, participants will be asked to attend the clinic on three different days with two visits per day (morning and evening). The same lens will be worn in both eyes, all participants will wear all three lens types (in total, three visits), and the lenses will be randomly assigned for wear. Participants will randomly wear oil-imbibed lenses (O-L), control lenses that contain only small particles of surfactant with no oil (C-L), and normal commercially available contact lenses (M-L). The primary endpoint is the changes in the tear break-up time of contact lens wearers over the 8 hours of lens wear.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Mark Willcox
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Address
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Level 3, Rupert Myers Building, North wing Gate 14, Barker Street UNSW Sydney 2052, NSW
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Country
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Australia
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Phone
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+61409658313
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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A/Prof. Jacqueline Tan-Showyin
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Address
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Eye Research Group, Rupert Myers Building, North wing Gate 14, Barker Street, School of Optometry and Vision Science, UNSW, Kensington, NSW, 2052
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Country
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Australia
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Phone
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+610293856551
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr. Furqan Maulvi
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Address
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Level 3, Rupert Myers Building, North wing Gate 14, Barker Street UNSW Sydney 2052, NSW
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Country
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Australia
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Phone
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+61497182620
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Fax
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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